咽鼓管球囊扩张术治疗咽鼓管功能障碍患者的临床效果  

Clinical effect of eustachian tube balloon dilatation in the treatment of patients with eustachian tube dysfunction

作　　者：李元锋 张亚娜 LI Yuanfeng;ZHANG Yana(Otorhinolaryngology Department,Xi'an Gaoxin Hospital,Xi'an 710075,China)

机构地区：[1]西安高新医院耳鼻咽喉科,陕西西安710075

出　　处：《临床医学研究与实践》2023年第28期86-89,共4页Clinical Research and Practice

摘　　要：目的探讨咽鼓管球囊扩张术治疗咽鼓管功能障碍(ETD)患者的临床效果。方法选择2019年1月至2021年12月我院接收的80例ETD患者,依据入院编号的奇偶性将其分为观察组与对照组,各40例(74耳)。观察组实施咽鼓管球囊扩张术治疗,对照组实施鼓膜切开术治疗。比较两组的治疗效果。结果术后1、3、6个月,观察组的耳闷、耳鸣、耳痛以及听觉模糊评分显著低于对照组(P<0.05)。术后1、6个月,观察组在30、40、50 mbar压力下的咽鼓管开放率高于对照组,咽鼓管评分高于对照组(P<0.05)。术后7 d,观察组的C反应蛋白(CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、降钙素原(PCT)水平显著低于对照组(P<0.05)。观察组的术后并发症总发生率低于对照组(P<0.05)。结论咽鼓管球囊扩张术治疗ETD患者的效果理想,可改善患者的临床症状,减轻炎症反应,提升手术安全性,具有重要的临床应用价值。Objective To investigate the clinical effect of eustachian tube balloon dilatation in the treatment of patients with eustachian tube dysfunction(ETD).Methods From January 2019 to December 2021,80 patients with ETD received in our hospital were selected and divided into observation group and control group according to the parity of admission number,with 40 cases(74 ears)in each group.The observation group was treated with eustachian tube balloon dilatation,and the control group was treated with tympanotomy.The therapeutic effects of the two groups were compared.Results At 1,3 and 6 months after operation,the scores of ear fullness,tinnitus,ear pain and auditory blur in the observation group were significantly lower than those in the control group(P<0.05).At 1 and 6 months after operation,the opening rate of eustachian tube under 30,40 and 50 mbar pressure in the observation group was higher than that in the control group,and the eustachian tube score was higher than that in the control group(P<0.05).At 7 d after operation,the levels of C-reactive protein(CRP),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and procalcitonin(PCT)in the observation group were significantly lower than those in the control group(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion The eustachian tube balloon dilatation in the treatment of patients with ETD has ideal effect,which can improve the clinical symptoms of patients,reduce the inflammatory response and improve the safety of surgery.It has important clinical application value.

关 键 词：咽鼓管功能障碍 咽鼓管球囊扩张术 鼓膜切开术 

分 类 号：R764.29[医药卫生—耳鼻咽喉科]